Analysis of Factors Hindering the Dissemination of Medical Information Standards

Many medical information standards are not widely used in Japan, and this hinders the promotion of the use of real-world data. However, the complex intertwining of many factors hindering the dissemination of medical information standards makes it difficult to solve this problem. This study analyzed...

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Main Authors: Masami Mukai, Katsuhiko Ogasawara
Format: Article
Language:English
Published: MDPI AG 2022-07-01
Series:Healthcare
Subjects:
Online Access:https://www.mdpi.com/2227-9032/10/7/1248
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author Masami Mukai
Katsuhiko Ogasawara
author_facet Masami Mukai
Katsuhiko Ogasawara
author_sort Masami Mukai
collection DOAJ
description Many medical information standards are not widely used in Japan, and this hinders the promotion of the use of real-world data. However, the complex intertwining of many factors hindering the dissemination of medical information standards makes it difficult to solve this problem. This study analyzed and visualized relationships among factors that inhibit the dissemination of medical information standards. Five medical informatics experts affiliated with universities and hospitals were interviewed about the factors that hinder the dissemination of medical information standards in Japan. The presented factors were analyzed using the interpretive structural modeling (ISM) method and the decision-making trial and evaluation laboratory (DEMATEL) method. We found that “legislation” and “reliability” were important inhibiting factors for the dissemination of medical information standards in Japan. We also found a six-layered structure in which “reliability” was satisfied when “legislation” was in place and “expectations” and “personal information” were resolved. The DEMATEL analysis indicated the relationships and classifications of factors hindering the dissemination of medical information standards. Since the adoption of medical information standards does not directly lead to revenue for medical institutions, it is possible to meet the “expectation” of improving the quality of medical care by ensuring “legislation” and “reliability”, that is, ensuring the dependability of medical treatment. The results of this study visually show the structure of the factors and will help solve the problems that hinder the effective and efficient spread of standards. Solving these problems may support the efficient use of real-world data.
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spelling doaj.art-89a3b7e3ae0c446b83ecb2c2734e84632023-12-01T22:12:29ZengMDPI AGHealthcare2227-90322022-07-01107124810.3390/healthcare10071248Analysis of Factors Hindering the Dissemination of Medical Information StandardsMasami Mukai0Katsuhiko Ogasawara1Graduate School of Health Sciences, Hokkaido University, Sapporo 060-0812, JapanFaculty of Health Sciences, Hokkaido University, Sapporo 060-0812, JapanMany medical information standards are not widely used in Japan, and this hinders the promotion of the use of real-world data. However, the complex intertwining of many factors hindering the dissemination of medical information standards makes it difficult to solve this problem. This study analyzed and visualized relationships among factors that inhibit the dissemination of medical information standards. Five medical informatics experts affiliated with universities and hospitals were interviewed about the factors that hinder the dissemination of medical information standards in Japan. The presented factors were analyzed using the interpretive structural modeling (ISM) method and the decision-making trial and evaluation laboratory (DEMATEL) method. We found that “legislation” and “reliability” were important inhibiting factors for the dissemination of medical information standards in Japan. We also found a six-layered structure in which “reliability” was satisfied when “legislation” was in place and “expectations” and “personal information” were resolved. The DEMATEL analysis indicated the relationships and classifications of factors hindering the dissemination of medical information standards. Since the adoption of medical information standards does not directly lead to revenue for medical institutions, it is possible to meet the “expectation” of improving the quality of medical care by ensuring “legislation” and “reliability”, that is, ensuring the dependability of medical treatment. The results of this study visually show the structure of the factors and will help solve the problems that hinder the effective and efficient spread of standards. Solving these problems may support the efficient use of real-world data.https://www.mdpi.com/2227-9032/10/7/1248real-world data (RWD)standardsISMDEMATELinhabitant factor
spellingShingle Masami Mukai
Katsuhiko Ogasawara
Analysis of Factors Hindering the Dissemination of Medical Information Standards
Healthcare
real-world data (RWD)
standards
ISM
DEMATEL
inhabitant factor
title Analysis of Factors Hindering the Dissemination of Medical Information Standards
title_full Analysis of Factors Hindering the Dissemination of Medical Information Standards
title_fullStr Analysis of Factors Hindering the Dissemination of Medical Information Standards
title_full_unstemmed Analysis of Factors Hindering the Dissemination of Medical Information Standards
title_short Analysis of Factors Hindering the Dissemination of Medical Information Standards
title_sort analysis of factors hindering the dissemination of medical information standards
topic real-world data (RWD)
standards
ISM
DEMATEL
inhabitant factor
url https://www.mdpi.com/2227-9032/10/7/1248
work_keys_str_mv AT masamimukai analysisoffactorshinderingthedisseminationofmedicalinformationstandards
AT katsuhikoogasawara analysisoffactorshinderingthedisseminationofmedicalinformationstandards